Practices

Clumsy is not a description you can work with. Balance, core strength, shifting your weight, big movements, small ones, catching a ball, keeping a beat: those you can look at one at a time.

Break it down and you usually find a child is fine in four of those and struggling in two. That turns a vague sense that they are awkward into…

Not every family can get occupational therapy. Almost anyone can get outside with a skipping rope, a long rope turned by two people, or a board.

Skipping and boarding ask for much of what a therapist would be working on anyway: both sides of the body keeping time with each other, judging the…

How often you move matters more than how hard. Pick something you would still do on a mediocre Tuesday.

Big efforts on good days followed by nothing for a fortnight tend to average out at very little. Three easy sessions a week that you actually keep…

Talk first, move second. Ending a hard conversation with something physical gives the body a route back down.

This works for a therapy group and it works for an evening at home. Say the difficult thing, then walk, stretch, wash up, anything that puts you back…

When obsessions start early and dig in deep, ask gently what anxiety looks like elsewhere in the family. Often there is an undiagnosed parent, and often that parent is helping in ways that keep the whole thing running.

None of this is about blame. A parent who checks the locks for their child, answers the same question fifteen times, or arranges the evening around a…

Headsets have become cheap enough to sit in an ordinary consulting room, and the use with the best backing is graded exposure. You can set the intensity exactly and repeat it as often as the person needs.

The value is in the control. A feared situation can be dialled up in small steps, run again the moment it stops being frightening, and ended without…

A weighted vest seems to do its work in roughly the first quarter of an hour. Twenty minutes did not beat fifteen, so longer is not more help.

Use it as a tool for a moment rather than a garment for the day: on before the piece of work that needs the most sitting still, off once that is…

With some sensory routines, the part doing the work may be a parent's steady hands and full attention rather than the technique itself. Worth knowing, because contact carries into the rest of the day and a protocol does not.

Views differ on this and the research has not sorted it out. What follows practically is that a family who cannot keep the exact routine going has…

When a test trips a child on something it was never meant to measure, change how they answer rather than what is asked. A spelling test spoken aloud is still a spelling test.

One girl saw letters as solid three dimensional shapes that would not sit together on a page, so writing them was a perceptual problem rather than a…

Ask for photographs of every bottle rather than a list from memory, then pass that list to the prescriber. Recall is patchy about names and hopeless about doses.

Intake forms catch some of it and a photo of the shelf catches the rest, including the two things nobody mentions because they seem too minor to…

Play belongs here. Being a lion, a tree, a hissing snake, the way children do it with no embarrassment at all.

A lot of people meet trauma work as something solemn, and solemn is easy to sit through without ever softening. Silliness is harder to fake. If a…

Go to the gym without the getting ready. No mirror check, no fixing your hair, just train and come home.

This works because it lands exactly where many people quietly keep their worth, and because the real consequences are nil. Nobody there is thinking…

After a betrayal, heal by talking the injury through together, fully, rather than skipping past it in silence.

Couples who avoid the subject drift apart; those who talk it through, honestly and thoroughly, are the ones who make it.

Atonement is not only apology; it is changed behavior over time. Let your actions become the apology.

Words open the door; sustained new behavior walks through it. Trust returns through consistency, not speeches.

Let the hurt partner set the pace of healing. It takes as long as it takes; there is no rushing trust back.

You cannot demand that trust return on a schedule. Honor the injured partner's timeline without pressure.

Take one of the gaps you already have, the commute or the walk or the shower, and use it to ask what is coming up this week and what might be slipping. No new tool, no new app, just the question.

That turns something accidental into something you can count on. It works best in the same place each time, so that the place starts asking the…

Name one old hurt with your spouse that still aches, gently and without re-litigating.

When you were not there that day, it marked me. Naming it is not attacking, it is asking to heal.

When your spouse names a wound you caused, listen without defending, even once.

Not I didn't mean to. First: I hear that I hurt you, and I am sorry. Defence can wait.

Where the harm has truly stopped, begin to set down a grievance you have carried.

Not forgetting, releasing. Once the wound is no longer being made, let it start to close.

Revisit a past fight only once you are both calm, from the balcony, without climbing back into it.

Processing means talking about the incident, not re-fighting it. Wait until the heat is gone.